MEDICARE: MR. MARION ATTA DAWAHARE LMHC, MHP, CMHS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH00009292	WA

General Provider Information

NPI Number	:	1962554212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARION ATTA DAWAHARE LMHC, MHP, CMHS

Provider Business Mailing Address
First Line	:	216 1ST AVE S
Second Line	:	#368
City	:	SEATTLE
State	:	WA
Zip	:	98104-3441
Country	:	US
Telephone Number	:	206-992-2097
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 1ST AVE S
Second Line	:	#368
City	:	SEATTLE
State	:	WA
Zip	:	98104-3441
Country	:	US
Telephone Number	:	206-992-2097
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	12/06/2013

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